腹腔镜结合阴道B超早期诊治异位妊娠20例临床分析

目的分析腹腔镜结合阴道B超早期诊治异位妊娠原因,以减少漏诊、误诊.方法对2003年1月～2004年12月收治的20例腹腔镜下治疗的异位妊娠临床资料进行回顾性分析.结果20例异位妊娠中早期未破裂输卵管妊娠12例,陈旧性异位妊娠4例,宫角妊娠2例,输卵管流产2例,均在腹腔镜下手术治愈.结论应用腹腔镜能早期诊治输卵管妊娠,降低异位妊娠病灶破裂的发病率与死亡率.

Clinnical Analysis of 20 Cases of Early Diagnosis and Operation Ectopic Pregnancy With Laparoscopy and Transvaginal Sonarography

Objective:To study the reasons of early diagnosis and operation ectopic pregnancy with laparoscopy and transvaginal sonarog- raphy,in order to reduce undiagnosis and misdiagnosis.Methods:20 cases of ectopic pregnancy with operative laparoscapy during January 2003 to December 2004 were retrospectively analyzed.Results:20 cases of ectopic pregnancy,including 12 cases of unruptared tubal pre- grancy,4 cases of old extrauterine pregnancy,2 cases of interstitial pregrancy,2 cases of tubal abortion,were completely recovered with op- erative laparoscapy.Conclusion:Using laparoscapy could be early diagnosis and Operation tubal pregnancy,reduce incidence and death rate of tubal rupture.